Individual
DR. ABRAHAM WUSEOK JEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED, LACEY, WA 98503
(360) 486-2900
(360) 486-2901
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60777650
WA
Other
Enumeration date
07/03/2014
Last updated
08/24/2021
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